HomeMy WebLinkAboutCERTIFICATE OF TERMITE TREATMENT�llSCANNtu
i �Yl
1 Planning & Development Services
Building & Code Regulation Division
w 2306 Virginia Ave
Fort Pierce, FL 34982
772-462-2172 Fax 7r2-462-6443
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT 5,qq5- 7
PERMIT #: I kj 0 o 69 JOB ADDRESS: / -7 4
BUILDER/CONTRACTOR: _G�-�-�� L ci lea
PEST CONTROL CONTRACTOR: Ov."e
PEST CONTROL LICENSE #:
we, thei undersigned, hereby certify that we have pretreated the above described construction for
subterranean termites in accordance with the standards of the National Pest Control Association.
Square feet if area treated: Z by
Chemicals used: I�
Percentage of solution: �
a Total gallons used: � �
Date of Treatment: / l J LJ 7 Time of Treatment:
Footing
1st Treatment
Re Treat
Driveway
ifil Treatment
ate -Treat
Other
1st Treatment
Re -Treat
Slab
e Treatment
Re -Treat
Pools
1st Treatment
Re -Treat
Perimeter for Final Inspection
Signature of F.xterminato
Note: There must be a completed form for each required treatment or re -treatment and this form mustbe on the job
site to be picked up by the Inspector at time of each inspection or the scheduled Inspection w111 fall and a-re-inspedion
fee charged.
FBC104.2.6 Certificate of protective Treatment for prevention of termites A weather reslstant}obsite posting board
shall be provided to recelve duplicate Treatment Certificates as each required protective treatment is completed,
providing a copy for the person the permit is Issued to and another copy for the building permit files The Treatment
Certificate shall prov/de the product used, Identity of the applicator, time and date of the treatment, site location, area
treated, chemical used, percent concentration and number of gallons used, to establish a verifiable record of
protective baatrwnt. If the soil chemical barrier method for termite prevention is used, final exterior treatment shall
be completed prior to final building approval.
St Lucie County requires for the final inspection for CO, a Permanent Sticker to be placed on
the electrical panel box cover, listing all the treatments and dates of applications.
,• r Planning & Development Services
aTt u r ry6i E' ^�ij R ' ' j+1ti
+ , Building & Code Regulation Division
2300 Virginia Ave
- Fort Pierce, FL 34982
772462-2172 Fax 772-462-6443
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT 3 q q 5— -7
,PERMIT #:.� 409 - 0 o 6 8 JOB ADDRESS: , 1 i -7 A kgj4 }-1 f, S $ I u . { ;C�Al fA 13mu'
BUILDER/CONTRACTOR:1 F i ��, ►n 1 a off' e
PEST CONTROL CONTRACTOR: - '� G
PEST CONTROL LICENSE #: zh?
We, the undersigned, hereby certify that we have pretreated the above described construction for
subterranean termites in accordance with the standards of the National Pest Control Association.
t'/P
Square feet if area treated: 2. l
Percentage of solution: 0
Date of Treatment:' 6'
Footing
Is' Treatment
Re -Treat
Driveway
Treatment
Re -Treat
Other
1st Treatment
Re -Treat
Chemicals used:. (k AA -if VAL
Total gallons used: �a
Time of Treatment: Z i 5J
Slab
in Treatment
Re -Treat
Pools
1-s' Treatment
Re -Treat
Perimeter for Final Inspection
Signature of ExtermYfator
Note. • There must be a completed fonn for each required treatment orre-tr'eatmentand this form mustbe on the job
site to be picked up by the inspector at time of each inspection or the scheduled Inspection wl/l fail and a-m-inspection
Me charged.
F13C104.2.6 Certificate of Protective Treatment for prevention of termites A weather resistant job:slte posting board
shall be provided to receive duplicate Treatment Certificates as each required protective treatment is completed,
providing a copy for the person the permit is issued to and another copy for the building permit files The Treatment
Certificate shall provide the product used, Identity of the applicator, time and date of the treatment, site location, area
treated, chemical used, percent concentration and number ofgallons used, to establish a verifiable record of
protective treabnent: If the soil diemical barrier method for termite prevention is used, final exterlor treatment shall
be completed prior to final building approval.
St Lucie County requires for the final inspection for CO, a Permanent Sticker to be placed on
the electrical panel box cover, listing all the treatments and dates of applications.
PERMIT #;
planidni g & Development Serxlces
Bye➢idinj & Code Reoulation Division
2=1 Virginia Ave
Fort Plewcz, FL 34982
772-462-2172 FOX 772-462-6443
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
JOB ADDRESS: I 111 i I-
BUILDEFt/CONTRACTOR. Q1�
PEST CONTROL, CONTRACTOR:
PEST CONTROL LICENSE #:-nk
We, the undersigned, hereby certify that we have pretreated the above described construction for
subterranean termites in accordance with the standards of the National Pest Control Assodation.
Square feet if area treated: Q/!~ t�(� A _
Chemicals used:
Percentage of solution:. 06 Total gallons used: _
Date of 7reat`mment: T' 16' , 5 --- 1 Time of Treatment: �Z i
_Fooiing stab
r �V1 Treatment -0 T eat6ent
Re -Treat _--i�-Treat
-Dray Pools
a _I Treatment 1Treatment
,,,, Re Treat Re -Treat
ether __ Perimeter for F al Inspection
5t Treatment �J
Re -Treat
a� Signature of lrm afar
(Vote; 77 oem must be a completed form for ewc required tmablnent orra-btatowt and tles corm must be on the job
site to be pfcked up by Me kmpectarat ow ofeach impecb'on ar the scheduled tnspeebvn W11 fall and a -a -lemon
fee 0argad.
Fecim.2.s aiw >liateorpfolectfwa Aeatmentforpremmtrbrroftermkag. A weatlierreslstant lobs/lePoOngboard
shall 1w provided to ramp a dq#lcate Treatment Cf?rbficales as each ra7Wr +d prbiW01 a owtmentls cnrnpleted,
providing a copy for the pemn flee permlt is bwoed to and anoffner copy for the bulld/ng permit files The 7h%Vne &
Gerf/flrate shall pro vide me product us6d, Idenrity of Me applkaw, dine and date of Me treatment, slW loratlon, area
treated, dremicai rwd, percent aancenftUon and number ofga/lons used, to establish a variable reword of
prntgwV hMhwnt- If the Mil Chem/& ba►rfer method for 4wmffie prevention is used, boil exterior t�itri�nt shall
he completed prior to Anal &WIng aAgmval,
St (Lucia County requires for the final inspecdon for CO, a Permaaf wt Sticker to be placed on
the electrical parcel box cover, lisdng all the tillealtments and dates of ap pllcat ions.
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